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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMary Carolyn Vinson
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    Mary Carolyn Vinson — Billing Profile & Reimbursement Data

    NPI 1700043197 · Charlottesville, VA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Mary Carolyn Vinson is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Charlottesville, Virginia. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMary Carolyn Vinson
    Address500 Martha Jefferson Dr Fl 5
    CityCharlottesville
    StateVA
    ZIP22911
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedMay 22, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$49K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43281The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…10$1,210$17K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…90$100$8.4K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…60$130$7.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$130$4.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…40$70$2.9K
    31629The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.20$140$2K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…20$90$1.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…10$100$1.4K
    31626In addition to normal bronchoscopic examination, the provider places one or more markers to create a reference point for future treatment/surgery.20$90$1.4K
    31627In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.20$80$1.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4328161020$1,180$22.3K
    992147,95912,890140$80$21K
    992138,87212,44090$60$10K
    992152,0584,03040$120$9.5K
    992042,1976,85040$110$5.9K
    992222,6183,12030$100$4.4K
    992033,7834,92030$70$3.8K
    31629112020$130$3.6K
    31627112020$80$2.1K
    31628152030$60$1.8K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mary Carolyn Vinson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Health Sciences Center IncFLGeneral Acute Care Hospital$0$53.1M
    The Surgery Center At Tgh Brandon Healthplex LLCFLAmbulatory Surgical Clinic/Center$2M$0
    Edward ScheckowitzFLUrology Physician$522.2K$0
    Emanuel GottengerFLUrology Physician$445.2K$0
    Sean CollinsDCRadiation Oncology Physician$444.1K$0
    Lawrence YoreFLUrology Physician$443.8K$0
    Murray GoldbergFLUrology Physician$421.7K$0
    David MeinbachFLUrology Physician$390.2K$0
    Megan SwansonVAOrthopaedic Surgery Physician$375.8K$0
    Adam GoldbergVAClinical Cardiac Electrophysiology Physician$369.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Mary Carolyn Vinson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Virginia Physicians GroupVASports Medicine (Neuromusculoskeletal Medicine) Physician$0$84.6M
    Compass Youth ServicesVACommunity/Behavioral Health Agency$0$63.5M
    Martha Jefferson HospitalVAGeneral Acute Care Hospital$0$26.9M
    Addiction Recovery Systems LLCVAMethadone Clinic$127.5K$11.5M
    Children's Dentistry Of Charlottesville, P.C.VADentist$0$11M
    Mohit NandaVARetina Specialist (Ophthalmology) Physician$4.6M$0
    Jacob MeyerVARetina Specialist (Ophthalmology) Physician$3.8M$0
    Scott ChirichettiVAPain Medicine Physician$1.1M$0
    Stephen VanceVAMOHS-Micrographic Surgery Physician$924.6K$0
    Vandana NandaVAMOHS-Micrographic Surgery Physician$912.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Mary Carolyn Vinson — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia